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Published on: September 9, 2020
Primary breast synovial sarcoma: a rare primary breast neoplasm
Vicente Tormo1, Francisco J Andreu
1Servicio de Oncología Radioterápica, Hospital Universitari Sant Joan d'Alacant, Sant Joan d'Alacant, Alicante, Spain. vitorfe@coma.es
A rare primary breast synovial sarcoma was diagnosed in a young woman. This synovial sarcoma was initially misdiagnosed as a common breast carcinoma, delaying appropriate treatment.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Primary breast tumors are predominantly carcinomas.
- Synovial sarcoma is a rare soft tissue sarcoma, typically affecting young adults in the extremities.
- Non-extremity synovial sarcomas are uncommon but can occur in various anatomical locations.
Observation:
- A young woman presented with a breast tumor initially suspected to be a common carcinoma.
- The patient commenced neoadjuvant chemotherapy for presumed breast carcinoma.
- Histopathological examination revealed a primary synovial sarcoma of the breast.
Findings:
- Synovial sarcoma is an exceedingly rare breast malignancy.
- Diagnostic challenges exist, potentially leading to misdiagnosis as carcinoma.
- This case highlights the importance of thorough histopathological evaluation for breast tumors.
Implications:
- Delayed diagnosis of synovial sarcoma can occur due to its rarity and resemblance to common breast cancers.
- Accurate pathological diagnosis is crucial for appropriate treatment selection and improved patient outcomes.
- Further research into the presentation and management of extraskeletal sarcomas in unusual locations is warranted.
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